Satellite Dialysis Of Stockton Llc in San Jose - End-stage Renal Disease (esrd) Treatment

Satellite Dialysis Of Stockton Llc - NPI 1134142565

Satellite Dialysis Of Stockton Llc is a End-stage Renal Disease (esrd) Treatment in San Jose, California. Satellite Dialysis Of Stockton Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Satellite Dialysis Of Stockton Llc is 1134142565. The last update date is 2023-01-19.

Satellite Dialysis Of Stockton Llc's current location address is 300 Santana Row, San Jose, California. You can contact this provider via phone number 6504043657 and fax number 6506256008. The mailing address for Satellite Dialysis Of Stockton Llc is 300 Santana Row, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Satellite Dialysis Of Stockton Llc
Address 300 Santana Row, San Jose, California
Phone Number 6504043657
Fax Number 6506256008
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Vincent Bernadette
Telephone Number 6504043600

NPI Number Detail

NPI Number 1134142565
Provider Enumeration Date 2006-07-26
Last Updated Date 2023-01-19

Provider Mailing Address Detail

Address 300 Santana Row
City San Jose
State California (CA)
Post Code 951282423
Phone Number 6504043657
Fax Number 6506256008

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CDC52577F CA --
550000468 CA STATE OF CALIFORNIA

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FAQs about Satellite Dialysis Of Stockton Llc

What is the Satellite Dialysis Of Stockton Llc's unique identification number?

The Satellite Dialysis Of Stockton Llc has been assigned the NPI (National Provider Identifier) Number 1134142565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Satellite Dialysis Of Stockton Llc's facilities are geographically located?

The facilities of Satellite Dialysis Of Stockton Llc are physically situated at the following location: 300 Santana Row, San Jose, CA, 951282423.

What is the Satellite Dialysis Of Stockton Llc's specialty and taxonomy code?

The Satellite Dialysis Of Stockton Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134142565 to Satellite Dialysis Of Stockton Llc?

The Centers for Medicare & Medicaid Services originally issued the 1134142565 to Satellite Dialysis Of Stockton Llc on 2006-07-26.

As of what date were the details related to Satellite Dialysis Of Stockton Llc most recently updated or revised?

The information pertaining to Satellite Dialysis Of Stockton Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-19.

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